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Utah rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Facilitymedian $9 · 10th–90th $9–$120%50%90th$9Professionalmedian $9 · 10th–90th $8–$90%50%10th90th$9$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.51 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51